DEATH CERTIFICATE
ROSELA HAGANS

Date    18 August 1915
Deathvol Vol:   1915
Cert: #  20068
Name:  Rosela HAGANS
Female, Colored, Married
Age:  40 years, 3 months, 17 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  01 May 1875                                          Occupation:  Housekeeper
Place of Birth: Perry Co., Ky.
Father:  Don't know                                                      Birthplace Father:  Don't know
Mother:  Sallie COMBS                                                      Birthplace Mother:  Kentucky
Informant:  James HAGANS, Sassafras, Ky.
Death Date:  18 August 1915
Cause of Death:  Consumption
Signed:  F. C. Roark, M.D.
Burial Place:  Simon Hagans
Undertaker:  Simon Hagans, Sassafras, Ky.
File Date: 19 August 1915
Transcribed by Debbie Tamborski, 01 August 2008